UNIVAL S.r.l. information form

INFORMATION FORM

Company

Name and Surname

Address

City

State

Country

Phone

Fax

E-mail (requested)

Activity

I'd like:

to be contacted by your agent
to receive information about your
sales points
to receive a password

Notes:

I agree I don't agree
to the processing of my personal details which will be used exclusively
for the purposes related to business activities (pursuant to italian law no.675/96, art.10).

UNIVAL S.r.l.
VAT: 02056290980
Via Mainone, 56/P - 25065 LUMEZZANE (BS) - ITALY
Phone +39 030 826164 - Fax +39 030 8259771 - E-mail: info@univalsrl.it